Uterine Perforation as a Complication of the Intrauterine Procedures Causing Omentum Incarceration: A Review

Abstract

Objective: Omentum involvement resulting from uterine perforation is a rare complication following intrauterine procedures that might require immediate intervention due to severe ischemic consequences. This review examines the prevalence of this complication, risk factors, the mode and timing of diagnosis, the proper management and the outcome. Methods: A systematic literature search was conducted on PubMed, PubMed Central and Scopus using uterine perforation, D&C, abortion and omentum as keywords. The exclusion criteria included the presence of the uterus or placenta’s malignancy and uterine perforation following delivery or caused by an intrauterine device. Results: The review included 11 articles from 133 screened papers. We identified 12 cases that three evaluators further analysed. We also present the case of a 32-year-old woman diagnosed with uterine perforation and omentum involvement. The patient underwent a hysteroscopic procedure with resectioning the protruding omentum into the uterine cavity, followed by intrauterine device insertion. Conclusion: This paper highlights the importance of a comprehensive gynaecological evaluation following a D&C procedure that includes a thorough clinical examination and a detailed ultrasound assessment. Healthcare providers should not overlook the diagnosis of omentum involvement in the presence of a history of intrauterine procedures.

Evaluation of the effect of Nigella sativa oil on the outcome of missed abortion in women: A randomized double‐blind clinical trial

“…Frequent curettage to treat a missed abortion also causes adhesions and subsequent infertility. [4][5][6] In medical treatment, various methods such as progesterone antagonists, high-dose Syntosynone (Oxytocin) and prostaglandins are used. 3 One of the most common medical treatments is the use of prostaglandins.…”

“…The most important complication of curettage is uterine perforation, and other complications include cervical rupture, severe bleeding, unsuccessful curettage, infection and remain of products in the uterus following curettage. Frequent curettage to treat a missed abortion also causes adhesions and subsequent infertility 4‐6 …”

“…Frequent curettage to treat a missed abortion also causes adhesions and subsequent infertility. 4 , 5 , 6 …”

Uterine Perforations Post-Manual Vacuum Aspiration: A Time for Re-Training

“…Uterine Perforation is an obstetric catastrophe that poses a considerable challenge to the obstetrician when associated with other sequelae such as intestinal herniation, severe bleeding, visceral injuries or pyometra (Bechem et al, 2016). Uterine perforation with intra-abdominal evisceration can lead to high maternal morbidity and mortality, especially secondary to termination of pregnancy (Zorila et al, 2023). It is a surgical emergency and delay in diagnosis and treatment have deleterious consequences for the mother (Augustin et al, 2013).…”